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EMANUEL OB/GYN
NPI 1962639807
Clinic/Center in Swainsboro, GA

Active since June 18, 2009
125B VICTORY DR, SWAINSBORO, GA 30401(478) 289-3190(478) 419-1252 Get Directions Write a Review

NPPES record last updated: February 25, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 25, 2020, Feb 22, 2017 (2 updates tracked since 2017).

About Emanuel Ob/gyn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMANUEL OB/GYN (NPI 1962639807) is a healthcare organization registered as a clinic/center in Swainsboro, Georgia and active in the NPI registry since June 2009. The organization lists Owen Tyrell Kelly, Delegated Official, as its authorized official.

NPPES Registry Identity

NPI1962639807
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameEMANUEL COUNTY HOSPITAL AUTHORITY
Location Address125B VICTORY DRSwainsboro, GA 30401-3234
Mailing Address117 Kite RdSwainsboro, GA 30401-3231
Phone(478) 289-3190
Fax(478) 419-1252
Organization SubpartNo
Authorized OfficialOwen Tyrell KellyDelegated Official · (478) 289-1192
Enumeration DateJune 18, 2009
Last NPPES UpdateFebruary 25, 20202 updates tracked since enumeration
✔ NPI 1962639807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
125B VICTORY DR, Swainsboro, GA 30401
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Other Names 1

Doing Business AsEmanuel Ob/gyn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emanuel Ob/gyn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

52

Medicare enrollment records show 52 clinicians reassign Medicare billing to Emanuel Ob/Gyn, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 18 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Nurse Practitioner21
Emergency Medicine9
Internal Medicine8
Family Practice4
Certified Registered Nurse Anesthetist (CRNA)3
General Practice2
General Surgery1
Hospitalist1
3 other specialties3

Nearest to this location (20)

See all 52
Caroline Musa, MD
Internal Medicine
NPI 1184964025
131A VICTORY DR
Swainsboro, GA 30401
(478) 237-8342
✔ PECOS✔ Accepts MedicareSame address
Sarah Lewis
Nurse Practitioner
NPI 1861319089
124 VICTORY DR
Swainsboro, GA 30401
(478) 237-5506
✔ PECOS✔ Accepts MedicareSame address
Amanda Jarriel, FNP-C
Nurse Practitioner
NPI 1174975726
124 VICTORY DR
Swainsboro, GA 30401
(478) 237-5506
✔ PECOS✔ Accepts MedicareSame address
Cedric Porter, M.D.
Family Practice
NPI 1174578223
124 VICTORY DRIVE
Swainsboro, GA 30401
(478) 237-5506
✔ PECOS✔ Accepts MedicareSame address
John Bishop, M.D.
General Surgery
NPI 1356405229
120A VICTORY DR
Swainsboro, GA 30401
(478) 237-3291
✔ PECOS✔ Accepts MedicareSame address
Vijitha Prasad, M.D.
Internal Medicine
NPI 1275520090
544 W CHURCH ST
Swainsboro, GA 30401
(478) 237-2527
✔ PECOS✔ Accepts Medicare0.1 mi
Vinh Dong, MD
Internal Medicine
NPI 1497331581
117 KITE RD
Swainsboro, GA 30401
(478) 289-1100
✔ PECOS✔ Accepts Medicare0.1 mi
Mary Greenway, NP
Nurse Practitioner
NPI 1194007971
117 KITE RD SECOND FLOOR
Swainsboro, GA 30401
(478) 289-1150
✔ PECOS✔ Accepts Medicare0.1 mi
Nicholas Luecke, NP
Nurse Practitioner
NPI 1477026599
117 KITE RD
Swainsboro, GA 30401
(478) 289-1240
✔ PECOS✔ Accepts Medicare0.1 mi
Michael Oates, MD
Emergency Medicine
NPI 1922045681
117 KITE RD
Swainsboro, GA 30401
(782) 891-1004
✔ PECOS✔ Accepts Medicare0.1 mi
Rhonda Oglesby, NP
Nurse Practitioner
NPI 1891346789
117 KITE RD
Swainsboro, GA 30401
(478) 289-1100
✔ PECOS✔ Accepts Medicare0.1 mi
Mandi Purcell
Nurse Practitioner
NPI 1750151197
117 KITE RD
Swainsboro, GA 30401
(478) 289-1100
✔ PECOS✔ Accepts Medicare0.1 mi
Harvey Langee, MD
Emergency Medicine
NPI 1801818042
117 KITE RD
Swainsboro, GA 30401
(478) 289-1100
✔ PECOS✔ Accepts Medicare0.2 mi
Lakeisa Kemp
Nurse Practitioner
NPI 1992640072
305 KITE RD
Swainsboro, GA 30401
(478) 237-7517
✔ PECOS0.2 mi
Sydney Koenig
Family Practice
NPI 1639756364
401 W MAIN ST
Swainsboro, GA 30401
(478) 237-9928
✔ PECOS✔ Accepts Medicare0.2 mi
Kyle Cannady
Nurse Practitioner
NPI 1457733826
215 N COLEMAN ST
Swainsboro, GA 30401
(478) 237-2638
✔ PECOS0.8 mi
Michael Edenfield, FNP-C
Nurse Practitioner
NPI 1851767214
401 W MAIN ST
Swainsboro, GA 30401
(478) 237-9928
✔ PECOS✔ Accepts Medicare0.8 mi
James Ray, MD
Family Practice
NPI 1679523419
401 W MAIN ST
Swainsboro, GA 30401
(478) 237-9928
✔ PECOS✔ Accepts Medicare0.8 mi
Claire Ault, NP
Nurse Practitioner
NPI 1710428255
115 GILLIKIN ST
Twin City, GA 30471
(478) 763-3036
✔ PECOS11 mi
Olalekan Akinyokunbo, M.D
General Practice
NPI 1063806040
400 CEDAR ST
Metter, GA 30439
(305) 585-1280
✔ PECOS21 mi
See all 52 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emanuel County Hospital Authority's NPI number?

The NPI number for Emanuel County Hospital Authority is 1962639807. It was assigned to this organization in the NPPES registry on June 18, 2009. The provider is doing business as Emanuel Ob/Gyn.

Where is Emanuel County Hospital Authority located?

Emanuel County Hospital Authority is located at 125B Victory Dr, Swainsboro, GA 30401. The listed phone number is (478) 289-3190.

What is Emanuel County Hospital Authority's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Emanuel County Hospital Authority enrolled in Medicare?

Yes. Emanuel County Hospital Authority is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Emanuel County Hospital Authority?

According to the CMS Revalidation Reassignment List (October 2026 release), 52 clinicians in 11 Medicare specialties reassign their Medicare billing to Emanuel County Hospital Authority. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (21), Emergency Medicine (9) and Internal Medicine (8). Of these, 4 practice at this address and 18 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Emanuel County Hospital Authority accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Emanuel County Hospital Authority as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Emanuel County Hospital Authority was last updated on February 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.